title: Women in Cairo, Egypt and their risk factors for unmet contraceptive need: a community-based study.
abstract: METHODS
  Although modern family planning methods are readily available in Egypt at low cost, a considerable proportion of women still have an unmet contraceptive need. The aim of this study was to detect the risk factors of unmet contraceptive need among married women in the childbearing period in an underprivileged area in Cairo with high population density. A survey of 2340 women in the Marg district of Eastern Cairo was conducted by means of home interviews. For every woman identified as having an unmet contraceptive need (n=174), the next two women identified with met contraceptive need were selected as controls (n=348).
  
  
  RESULTS
  The prevalence of unmet need was 7.4%. Risk factors identified were: belief that contraception is religiously prohibited (OR 2.08, 95% CI 1.06-4.09); poor interspousal communication about the desired number of children (OR 2.59, 95% CI 1.40-4.79); husband opposition to contraceptive use (OR 2.96, 95% CI 1.47-5.97); a previous history of unwanted pregnancy (OR 2.98, 95% CI 1.73-5.14); and experiencing side effects from previous contraceptive use (OR 5.69, 95% CI 3.46-9.37).
  
  
  CONCLUSIONS
  The authors propose training physicians to identify and counsel women who experience contraceptive side effects and/or a previous unwanted pregnancy, as well as the transmission of clear media messages on the religious acceptability of contraceptive use.
authors.affiliation: Department of Community, Environmental and Occupational Medicine, Ain Shams University, Egypt.
authors.forename: Mohammed Mahmoud
authors.initials: MM
authors.lastname: Kotb
authors.forename: Iman
authors.initials: I
authors.lastname: Bakr
authors.forename: Nanees A
authors.initials: NA
authors.lastname: Ismail
authors.forename: Naglaa
authors.initials: N
authors.lastname: Arafa
authors.forename: Mohamed
authors.initials: M
authors.lastname: El-Gewaily
mesh_terms: D000293:Adolescent; D000328:Adult; D016022:Case-Control Studies; D003142:Communication; D003268:Contraception Behavior; D003270:Contraceptive Agents / Q000009:adverse effects; D004534:Egypt / Q000453:epidemiology; D054541:Family Conflict; D005193:Family Planning Services / Q000706:statistics & numerical data; D005260:Female; D006301:Health Services Needs and Demand; D006306:Health Surveys; D006801:Humans; D016015:Logistic Models; D008297:Male; D008875:Middle Aged; D011247:Pregnancy; D011275:Pregnancy, Unwanted; D012067:Religion; D012307:Risk Factors; D018454:Spouses; D055815:Young Adult
chemical_list: D003270:Contraceptive Agents